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WEEK 20:
Introduction to the mediastinum:
| Question | Answer |
|---|---|
| superior mediastinum boundary | superior thoracic aperture (inlet) |
| inferior mediastinum boundary | diaphragm |
| anterior mediastinum boundary | sternum + costal cartilage |
| posterior mediastinum boundary | T1-T12 vertebrae |
| lateral mediastinum boundary | mediastinal pleurae |
| contents of the anterior mediastinum | stemopericardial ligament, fat, lymph nodes + vessels, branches of internal thoracic vessels, and remnant of thymus (primary lymphoid organ) |
| boundaries of superior mediastinum | inferiorly - transverse thoracic line (TTP) and posteriorly - T1+T3 thoracic body |
| contents of superior mediastinum (10) | heart, pericardium, root of great vessels, trachea, main bronchi, arch of agygos vein, lymphatic node. phrenic nerve. vagus and cardiac plexus |
| great vessels-arteries** | terminates at 4th wall diving into |
| arch of aorta becomes | |
| internal external artery - branch off | |
| brachiocephalic /=** | L R (upper) |
| great vessels- veins | |
| nerves (15) | |
| trachea cartilage | c- hyaline |
| where does trachea start | v6 |
| carina | point of bifurcation of trachea into main bronchi |
| point at which bifurcation of trachea + where right lymphatic duct + thoracic duct** | T4/5 |
| azygous system of veins (3) | azygous, accessory gemi-azygous, and him-axygos |
| identify azygous vein** | |
| oeseophagus compressed by (4) | aortic arch, left main bronchus, heart due to left atrium, and diaphragm |
| radiology showing mediastinal shift/ displacement | when trachea used to npow onto the side t shift |
| widening of medistinum |